摘要
目的:观察循经针刺联合非手术脊柱减压治疗腰椎间盘突出症的疗效。方法:将150例腰椎间盘突出症病例分为西药康复组和针刺减压组,西药康复组接受常规西药保守治疗及常规康复治疗,针刺减压组接受循经针刺联合非手术脊柱减压治疗,对比两组的近期及远期疗效、腰腿疼痛状况即视觉模拟评分法(VAS)评分、腰椎功能障碍指数(ODI)评分、椎旁肌肉变化状况[腰椎肌肉表面肌电信号(IEMG)、椎旁肌群稳定性]。结果:近期(随访个6月)治疗优良率,西药康复组(65.33%)和针刺减压组(68.00%)比较,差异无统计学意义(P>0.05);远期(随访12个月)治疗优良率,针刺减压组(92.00%)高于西药康复组(66.37%),差异有统计学意义(P<0.01)。在治疗1个月、治疗3个月时,针刺减压组的腰腿疼痛VAS评分、ODI评分、腰椎肌肉表面肌电信号(竖脊肌IEMG、多裂肌IEMG)低于西药康复组,差异具有统计学意义(P<0.01),针刺减压组的椎旁肌群(竖脊肌截面面积/腰椎截面面积、多裂肌截面面积/腰椎截面面积)高于西药康复组,差异具有统计学意义(P<0.01)。结论:循经针刺联合非手术脊柱减压在腰椎间盘突出症治疗中的远期疗效显著,可有效减轻腰腿疼痛和腰椎功能障碍,增强脊柱稳定性和缓解椎旁肌紧张和痉挛程度。
Objective:To observe the effect of acupuncture combined with non-surgical spinal decompression on lumbar disc herniation.Methods:There were 150 patients with lumbar disc herniation divided into western medicine rehabilitation group and acupuncture decompression group.The western medicine rehabilitation group was given conservative treatment with routine western medicine and routine rehabilitation treatment,and the acupuncture decompression group was given acupuncture along meridian combined with non-surgical spinal decompression treatment.The short-term effect,long-term effect,lumbar and knee visual analogue scale(VAS)score of lumbar region and lower limb,Oswestry disability index of lumbar spine,and paravertebral muscle changes(integrated electromyography(IEMG),paravertebral muscle group stability).Results:On the short-term(follow-up after 6 months),the excellent treatment rate showed no difference between western medicine rehabilitation group(65.33%)and acupuncture decompression group(68.00%),(P>0.05);on the long term(follow-up after 12 months),the excellent treatment rate in acupuncture decompression group(92.00%)was higher than that in the western medicine rehabilitation group(66.37%),with obvious statistical difference(P<0.01).At the 1st and 3rd months,VAS score,ODI score,lumbar muscle surface muscle electromyography(erector spinae IEMG and multifidi IEMG)in acupuncture decompression group were lower than those in western medicine rehabilitation group,with obvious statistical difference(P<0.01).The paraspinal muscle group(vertical spinal muscle cross-sectional area to lumbar cross-sectional area ratio,multi-fissure muscle cross-sectional area to lumbar cross-sectional area ratio)in acupuncture decompression group was higher than that in western medicine rehabilitation group,with obvious statistical difference(P<0.01).Conclusion:Acupuncture along the meridians combined with non-surgical spinal decompression showed significant long-term clinical effect on lumbar disc herniation treatment,could reduce pain in t
作者
李江涛
王晓玲
LI Jiangtao;WANG Xiaoling(Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao 066000,China)
出处
《山东中医杂志》
2021年第10期1109-1115,共7页
Shandong Journal of Traditional Chinese Medicine
基金
河北省中医药管理局科研计划项目(编号:2019530)。
